The European ADHD Guidelines Group has released guidance for patients who wish to start a new ADHD medication but did not complete an in-person cardiovascular assessment prior to the quarantine.
but did not complete an in-person cardiovascular assessment prior to the quarantine. Starting a new medication under these circumstances was deemed appropriate only if three conditions are satisfied:
The individual with attention deficit hyperactivity disorder should not have a personal history of “shortness of breath on exertion compared with peers; fainting on exertion or in response to fright or noise; excessive palpitations, breathlessness or syncope or palpitations that are rapid, regular, and start and stop suddenly ; chest pain suggesting cardiac origin; or any previously documented hypertension, congenital heart abnormality, previous cardiac surgery, or underlying condition that...
Baseline monitoring of health, such a checking blood pressure and heart rate, has been conducted by a family member or another person remotely. If the first two conditions are not met, medical practitioners should postpone treatment changes until a referral to a cardiologist is issued. If the individual with ADHD is unable to conduct baseline monitoring, the EAGG states that the prescriber must evaluate the risks and benefits of an in-person assessment in light of the severity of
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